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Organization
PREMILA JOHNSON, MD LP
Active
Organization
PREMILA JOHNSON, MD LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PREMILA LAKSHMI SINGH JOHNSON MD (PHYSICIAN/OWNER)
(432) 413-5496
Entity
Organization
Contact information
Practice address
2300 W MICHIGAN AVE, SUITE 5, MIDLAND, TX 79701-5808
(432) 413-5496
Mailing address
2300 W MICHIGAN AVE, SUITE 5, MIDLAND, TX 79701-5808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M3739
TX
208000000X
Pediatrics Physician
M3739
TX
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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